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Mitochondrial myopathy with exercise intolerance and retinal dystrophy in a sporadic patient with a G583A mutation in the mt tRNAphe gene
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文摘
We describe a second patient with the 583G > A mutation in the tRNAphe gene of mitochondrial DNA (mtDNA). This 17-year-old girl had a mitochondrial myopathy with exercise intolerance and an asymptomatic retinopathy. Muscle investigations showed occasional ragged red fibers, 30 % cytochrome c oxidase (COX)-negative fibers, and reduced activities of complex I + IV in the respiratory chain. The mutation was heteroplasmic (79 % ) in muscle but undetectable in other tissues. Analysis of single muscle fibers revealed a significantly higher level of mutated mtDNA in COX-negative fibers. Our study indicates that the 583G > A mutation is pathogenic and expands the clinical spectrum of this mutation.

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